Client Level Data: MGroup

6. Race / Ethnicity: *This question is required.

• American Indian / Alaskan Native
• Asian
• Black / African American
• Native Hawaiian / Pacific Islander
• White
• Hispanic / Latinx
• Don't Know
• Decline

7. State of Residence: *This question is required.

• Vermont
• Not Vermont

9. Assigned Sex at Birth *This question is required.

• Male
• Female
• Intersex
• Decline

11. Have you had a previous HIV test: *This question is required.

• Yes
• No
• Don't Know
• Decline

12. Last HIV Test Result *This question is required.

• Positive
• Negative
• Preliminary Positive
• Indeterminate
• Don't Know
• Decline

12. Have you done any of the following acts in the past 12 months? *This question is required.

• Vaginal or anal sex with a male
• Vaginal or anal sex with a male without using a condom
• Vaginal or anal sex with a male who is an injection drug user
• Vaginal or anal sex with a male who is HIV+
• Vaginal or anal sex with a female
• Vaginal or anal sex with a female without using a condom
• Vaginal or anal sex with a female who is an injection drug user
• Vaginal or anal sex with a female who is HIV+
• Vaginal or anal sex with a transgender person
• Vaginal or anal sex with a transgender person without using a condom
• Vaginal or anal sex with a transgender person who is an injection drug user
• Have you used injection drugs?
• Have you shared drug injection equipment?
• None of the above